Attachment to ASL 00-03

State of California
California Environmental Protection Agency
AIR RESOURCES BOARD
ASD/FISCAL-214 (NEW 8/99)
Accounting & Grants Section

REQUEST TO STATE CONTROLLER'S OFFICE
DIVISION OF CLAIMS AUDITS
FOR VEHICLE RENTAL EXCEPTION
3301 C Street, Room 705
Sacramento, California 95816


Vendor _______________________________________ Vehicle Type _______________________
Dates of Travel _________________________________ Destination of Travel _________________
Payment Type: State Billed_______________________ Employee Paid/Reimbursed ___________

TYPE OF EXCEPTION:

___ Non-contract Company ___ Upgrade/Larger Vehicle


REASON FOR EXCEPTION:

___ None of six contracting companies able to provide vehicle
___ No contract vendor at location
___ No vehicle available at this location
___ More than four employees traveling together with luggage and other belongings.
(more economical to rent one larger vehicle)
___ Employee is large in stature
Please describe the circumstances, the make and model of vehicle rented and the make and
model available for contract rate.
___ Medical Problem
A statement from a medical doctor is on file with the supervisor.
___ Nature of business requires traveling with sizable field equipment and apparatuses.
___ Other (explain) _____________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________
Signature of Employee
_____________
Date
_______________________________
Signature of Supervisor
______________
Date

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